Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT9298 | CA |
NPI | 1043746803 |
---|---|
Provider Name | Nancy Aduna |
First Address | San Rafael, CA 94903-2310 |
Second Address | San Rafael, CA 94903-2310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2017 |
Last Update Date | 11/05/2017 |